MOJ clinical & medical case reports最新文献_第3页

Tricuspid perivalvular leak closure through the open cells of Sapien 3 transcatheter heart valve 通过Sapien 3型经导管心脏瓣膜开放细胞闭合三尖瓣瓣周漏

MOJ clinical & medical case reports Pub Date : 2021-01-01 DOI: 10.15406/mojcr.2021.11.00387

M. Abdulbasit

{"title":"Tricuspid perivalvular leak closure through the open cells of Sapien 3 transcatheter heart valve","authors":"M. Abdulbasit","doi":"10.15406/mojcr.2021.11.00387","DOIUrl":"https://doi.org/10.15406/mojcr.2021.11.00387","url":null,"abstract":"off-label 29mm Edwards Sapien 3 (S3) Transcatheter Heart Valve (THV). Immediate post valve deployment, mild Perivalvular Leak (PVL) was noticed at the septal aspect (area of incomplete annuloplasty ring). Eighteen months later, patient presented with recurrent right heart failure and paracentesis due to severe tricuspid PVL (Figure 1A-C, Video 1). Percutaneous PVL closure under general anesthesia, Trans-esophageal Echocardiography (TEE) was performed. Via femoral venous access, defect was easily crossed with Agilis steerable sheath, multipurpose catheter and 0.035” glide wire. Despite recurrent attempts, wire came through the PVL but then traversed through open cells of S3 into the right ventricle (Figure 2A), confirmed with Armada 6mm balloon waist at the S3 cage (Figure 2B) (despite inflating 28mm Z med balloon inside S3 cage, Figure 2C). We decided to partially deploy the plug and assess valve function. Using 7.5F Asahi Eaucath multipurpose guide, a 12mm AmplatzerTM Vascular plug II (AVP II) was advanced through the defect. The ventricular disc was opened inside the S3 cage while body in the PVL defect (outside the S3 cage) and atrial disc on the atrial side of PVL (Figure 3A-B). With S3 function unaffected, no central leak and minimal gradient, PVL reduced to mild severity (Figure 4A-D, Video 2); the AVP II was successfully deployed (Figure 5). At 3-month follow up, there was an excellent symptomatic improvement (NYHA functional class I), with no heart failure re-hospitalization or paracentesis. Deployment of plug disc inside the valve frame is not recommended due to fear of interference with leaflet function and possible injury in long term. There was no immediate issue with the valve function in this case (due to space between the leaflet and frame of S3 and depends on size of plug used). Valve-in-Valve (S3-in-S3) would have certainly sealed all open cells treating this PVL but is more expensive option.","PeriodicalId":93339,"journal":{"name":"MOJ clinical & medical case reports","volume":"1 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"67083528","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Sudden confusion and cognitive decline due to acute infarction of the anterior thalamic nucleus (ANT) - a case report 急性丘脑前核(ANT)梗死引起的突然意识混乱和认知能力下降1例

MOJ clinical & medical case reports Pub Date : 2021-01-01 DOI: 10.15406/mojcr.2021.11.00397

Chunhui Yang

引用次数: 0

Spontaneous fragmentation and embolization of chemoport catheter- a case report 化疗导尿管自发断裂栓塞1例

MOJ clinical & medical case reports Pub Date : 2021-01-01 DOI: 10.15406/mojcr.2021.11.00405

Vibhor Sharma

引用次数: 0

Tympanic membrane perforation, otitis media and labyrinthitis caused by otomycosis confirmed by intravenous gadolinium 1.5 tesla MRI-a case report 静脉钆1.5特斯拉mri证实耳真菌病致鼓膜穿孔、中耳炎、迷路炎1例

MOJ clinical & medical case reports Pub Date : 2021-01-01 DOI: 10.15406/mojcr.2021.11.00369

Chunhui Yang

引用次数: 0

No lesion in the liver can also be hepatic tuberculosis - An important consideration 肝脏无病变也可以是肝结核——一个重要的考虑因素

MOJ clinical & medical case reports Pub Date : 2021-01-01 DOI: 10.15406/mojcr.2021.11.00400

Rajaram Sharma

引用次数: 0

Complications of refractory juvenile dermatomyositis: a case report and literature review 难治性青少年皮肌炎并发症1例报告并文献复习

MOJ clinical & medical case reports Pub Date : 2021-01-01 DOI: 10.15406/mojcr.2021.11.00371

Rhett Orgeron

引用次数: 0

Metastatic ovarian cancer to the gallbladder indicative of the diagnosis 胆囊转移性卵巢癌提示诊断

MOJ clinical & medical case reports Pub Date : 2021-01-01 DOI: 10.15406/mojcr.2021.11.00372

S. Berrad

{"title":"Metastatic ovarian cancer to the gallbladder indicative of the diagnosis","authors":"S. Berrad","doi":"10.15406/mojcr.2021.11.00372","DOIUrl":"https://doi.org/10.15406/mojcr.2021.11.00372","url":null,"abstract":"Ovarian cancer is a malignant tumor that usually develops from the surface coating of the ovaries. The most common form is epithelial carcinoma. As a result of its location, and its silent nature responsible for a delay in diagnosis that makes the prognosis rather poor. The usual metastatic sites are the peritoneal cavity, liver and lung. Secondary biliary localization is a rare, even exceptional site. We report the observation of a patient who presented with abdominal pain in the right hypochondrium and progressive vomiting. Abdominal ultrasound revealed a 21 mm gallbladder lithiasis with hepatic steatosis. Abdominal CT scan revealed a large heterogeneous mass with engulfed gallstones. The patient underwent cholecystectomy. Histological study showed moderately differentiated adenocarcinoma and acute cholecystitis. Immunohistochemical staining revealed that the tumor cells were positive for antibodies against CK7, WT1, PAX8 and p53 and negative for CK20 and ER. These results suggest that the tumor was a metastasis of serous ovarian adenocarcinoma. Medical imaging done with abdominal CT showed an ovarian mass with peritoneal carcinosis, serum CA125 was elevated at 97U/ml. Carbohydrate antigen (CA) 19-9 and carcinoembryonic antigen (CEA) levels were normal. The patient received first-line chemotherapy with carboplatin and paclitaxel. After 6 courses of therapy, she achieved a partial clinical, biological and radiological response, in our medical oncology department of the CHU Hassan II from Fez. The interest of the subject is to report the rarity of this entity as well as the radiological, histopathological, prognostic and therapeutic characteristics.","PeriodicalId":93339,"journal":{"name":"MOJ clinical & medical case reports","volume":"1 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"67083177","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

A rare case of acute abdominal pain: an association between herpes zoster and cholecystitis 一例罕见的急性腹痛:带状疱疹和胆囊炎之间的联系

MOJ clinical & medical case reports Pub Date : 2021-01-01 DOI: 10.15406/MOJCR.2021.11.00377

N. Hassan

引用次数: 0

Ruptured internal iliac artery aneurysm masquerading as an inguinal hernia 破裂的髂内动脉瘤伪装成腹股沟疝

MOJ clinical & medical case reports Pub Date : 2021-01-01 DOI: 10.15406/mojcr.2021.11.00378

J. Tay

引用次数: 0

Major bleeding under enoxaparin treatment. An unexpected second offender 依诺肝素治疗大出血。意外的二次犯

MOJ clinical & medical case reports Pub Date : 2021-01-01 DOI: 10.15406/mojcr.2021.11.00384

J. Naschitz

引用次数: 0